EDWIN B. ROSS JR. (NPI# 1588655138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588655138 |
| Entity Type | Individual |
| Full Name | EDWIN B. ROSS JR. |
| Credential | MD |
| Practice Address |
120 Meadowcrest St Suite 200 Gretna LA 70056-5255 |
| Practice Telephone | 5043917650 |
| Practice Fax Number | 5043947344 |
| Mailing Telephone | 5043917650 |
| Mailing Fax Number | 5043947344 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2008-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 012759 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1146099 | 05 |
| Street Address |
120 MEADOWCREST ST SUITE 200 |
| City | GRETNA |
| State | LA |
| Zip Code | 70056-5255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568467769 | James P Marra | Specialist | 120 Meadowcrest St, Ste 380, Gretna, LA 70056-5281 | 2005-06-15 |
| 1851852362 | Monica Idoyaga | Nurse Practitioner | 120 Meadowcrest St, Ste 245, Gretna, LA 70056-5280 | 2019-03-27 |
| 1205379203 | Jamila Mathews | Nurse Practitioner | 120 Meadowcrest St, Gretna, LA 70056-5255 | 2016-11-22 |
| 1487084943 | Capital City Medical Group, LLC | Internal Medicine | 120 Meadowcrest St, Suite 120, Gretna, LA 70056-5255 | 2013-11-20 |
| 1336487206 | Lupin Womens Health Services, LLC | Obstetrics & Gynecology | 120 Meadowcrest St, Suite 350, Gretna, LA 70056-5255 | 2013-01-28 |
| 1700144102 | Kim Phung Thi Nguyen | Pharmacist | 120 Meadowcrest St, Suite 150, Gretna, LA 70056-5255 | 2012-04-24 |
| 1962702175 | Daniel A Long Md A Professional Medical Corporation | Clinic/Center | 120 Meadowcrest St, #330, Gretna, LA 70056-5255 | 2010-10-22 |
| 1205064631 | Ochsner Clinic LLC | Durable Medical Equipment & Medical Supplies | 120 Meadowcrest St, Gretna, LA 70056-5255 | 2009-06-24 |
| 1063648525 | Daniel J Burst | Physician Assistant | 120 Meadowcrest St, Suite 300, Gretna, LA 70056-5255 | 2009-06-10 |
| 1518100312 | Crescent City Dermatology, LLC | Dermatology | 120 Meadowcrest St, Suite 460, Gretna, LA 70056-5255 | 2009-04-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023634169 | Krewe Wellness | Counselor | 2112 Belle Chasse Hwy Ste 8, #156, Gretna, LA 70056 | 2020-06-24 |
| 1205459732 | Gulf Coast Medical Specialists LLC | Internal Medicine | 1620 Belle Chasse Hwy Suite 101, Gretna, LA 70056 | 2020-05-19 |
| 1427530872 | Anna Marie Mckeon Jr. | Social Worker | 410 W. Butterfly Circle, Terrytown, LA 70056 | 2018-09-02 |
| 1558843219 | Nikell Thompson Fortia | Non-emergency Medical Transport (VAN) | 561 Morningside Dr, Gretna, LA 70056 | 2018-08-29 |
| 1861979379 | Irajuan L Cooley | Case Manager/Care Coordinator | 1620 Carol Sue Ave Apt 219, Gretna, LA 70056 | 2018-07-26 |
| 1457842528 | Veronica Stevenson | Case Manager/Care Coordinator | 1799 Stumpf Blvd Ste 4a, Terrytown, LA 70056 | 2018-05-24 |
| 1184126278 | Elesha Loston | Case Manager/Care Coordinator | 1799 Stumpf Blvd. Bldg .7 Suite 9a, Gretna, LA 70056 | 2018-03-05 |
| 1336656149 | Porsha D Causey | Counselor | 1799 Stumpf Blvd Bldg 7 Ste 10, Ste 10, Gretna, LA 70056 | 2018-01-02 |
| 1265950745 | Tamika Nicole Deville | Counselor | Advanced Therapeutic, 1799 Stumpf Blvd Bld 3 Ste 4b, Terrytown, LA 70056 | 2017-09-05 |
| 1679098792 | Clear Head Inc | Clinic/Center | 2310 Park Place Dr., Terrytown, LA 70056 | 2017-08-09 |
| Find all providers in zip 70056 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922340579 | Andrew James Thomas | Otolaryngology | 120 Ochsner Blvd Ste 200, Gretna, LA 70056 | 2013-03-21 |
| 1821382433 | Jessica Moskovitz | Otolaryngology | 120 Ochsner Blvd Ste 200, Gretna, LA 70056-5248 | 2011-06-01 |
| 1124246889 | E.b. Ross, Jr Md-stephen D Goodwin, Md | Otolaryngology | 120 Meadowcrest St, Suite 200, Gretna, LA 70056-5255 | 2007-04-20 |
| 1548251101 | Stephen Goodwin | Otolaryngology | 120 Meadowcrest St, Suite 200, Gretna, LA 70056-5255 | 2005-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497352272 | Trahan Medical Corporation | Otolaryngology | 3935 I 49 S Service Rd, Opelousas, LA 70570-0758 | 2020-10-05 |
| 1144834177 | Compassio, LLC | Otolaryngology | 616 S Jahncke Ave, Covington, LA 70433-3719 | 2020-09-08 |
| 1851918486 | Wk Bossier Ent & Allergy Institute | Otolaryngology | 2449 Hospital Dr Ste 440, Bossier City, LA 71111-1918 | 2020-06-30 |
| 1356992119 | Keith F. Desonier, M.d, Apmc | Otolaryngology | 555 Dr Michael Debakey Dr Ste 103, Lake Charles, LA 70601-5700 | 2019-09-24 |
| 1366096950 | Harold Edward Zylicz II | Otolaryngology | 8585 Picardy Ave Ste 210, Baton Rouge, LA 70809-3749 | 2019-07-31 |
| 1477927838 | Smart Sinus and Allergy Louisiana LLC | Otolaryngology | 73100 E Stadium Dr, Covington, LA 70433-1008 | 2015-11-23 |
| 1336541226 | Dr. Charles J. Ballay II M.d. | Otolaryngology | 1111 Medical Center Blvd, 707 N, Marrero, LA 70072 | 2014-09-23 |
| 1124445093 | Elizabeth Gardner De Laureal | Otolaryngology | 200 W Esplanade Ave Ste 420, Kenner, LA 70065-2489 | 2014-03-27 |
| 1346680758 | Andrew Matthew Robichaux | Otolaryngology | 17609 Old Jefferson Hwy Ste C, Prairieville, LA 70769 | 2013-06-29 |
| 1184966962 | Rachel Alice Barry | Otolaryngology | 4212 W Congress St Ste 1500, Lafayette, LA 70506 | 2013-03-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.